Beyond dummy variables and sample selection: what health services researchers ought to know about race as a variable.

Thomas A. LaVeist

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Race, Genetics, and Society Health disparities and outcomes Racial and Ethnic Identity Research

Abstract

OBJECTIVE: This article addresses the definitional and methodological problems associated with the most common uses of race as a variable in health research. PRINCIPAL FINDINGS: Although often used in health services research, race is a poorly understood concept because it lacks conceptual clarity. Moreover, the measurement problems with race have not yet been adequately addressed. As a result, many quantitative models that attempt to explain race differences are inadequate to inform health or social policy. CONCLUSIONS: Researchers should treat the race variable with the same degree of caution and skepticism with which it treats any other variable.

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References

1983Solid Waste Sites and the Black Houston Community*1986The Biological Concept of Race and Its Application to Public Health and Epidemiology 1989Coronary arteriography and coronary bypass survey among whites and other racial groups relative to hospital-based incidence rates for coronary artery disease: findings from NHDS.1991Income, race, and surgery in Maryland.1987Relationship Between Patient Race and the Intensity of Hospital Services 1981Racism, Society, and Disease: An Exploration of the Social and Biological Mechanisms of Differential Mortality

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2002CLASSIFICATION OF RACE AND ETHNICITY: Implications for Public Health 2005Negro, Black, Black African, African Caribbean, African American or what? Labelling African origin populations in the health arena in the 21st century: Table 1 2004The concept and measurement of race and their relationship to public health: a review focused on Brazil and the United States 2000Use of Race and Ethnicity in Epidemiologic Research: Concepts, Methodological Issues, and Suggestions for Research 2007Racial Categories in Medical Practice: How Useful Are They?

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